PREPAID TICKET NO.
STATE OF SOUTH DAKOTA
COUNTY OF MINNEHAHA S.S.(1) I, Sam Speier
being duly sworn, depose and say:(2) That I am 57years of age and was born at Washington, Kansas(3) That my present address is 226 No. Duluth Street,
City of Sioux Falls County of Minnehaha
State of South Dakota(4) That I have resided In the United States for the past 57
years having been legelly admitted for permanent
residence at the port (station) ex S.S. (R.R.)
Native born; holding American Consular Visa No. Issued by on(5) That I am a citizen of the United States Holding Certificate of Naturalization No. issued by
Native born Court at.(6) That I have declared my intention to become a citizen of the United States and hold Declaration of Intention Certificate No. issued at on(7) That it is my intention and desire to have the following relative(s) or friend(s) at present residing at
Halberstadt, Germany come and remain with me in the United States until they become self supporting.(8) That it is my intention and desire to have the foltowing relative(s) or friend(s) now residing at
come to the United States for a temporary visit not to exceed months and that I am able and willing to
furnish a bond of $500 to the United States Immigration Authorities to Insure (his) (her) (their) departure the expiration of such period should bond be required.Name of Allen
Age
Sex
Relationship
Place and Date of BirthAlfred Speler
58
Male
Cousin
Halberstadt, Germany, Mar. 10, 1888Käte Bluth Speier
47
Female
"
Schmalkalden " June 7, 1889Eva Speler
17
"
"
Halberstadt, "
Aug.16, 1919(9) I am steadily employed as
That my (husband's) occupation is Laundry Owner; that my (his) average weekly earnings are
$ See auditor's report attached.(10) That I possess property aggregating: Real Estate $
Bank Account $ See auditor's report.(11) Insurance, mortgages, stocke and bonds, etc. See auditor's report (12) That my dependents consist of
Wife and one minor child(13) That I hereby agree and guarantee to send to school those herein named who have not yet reached the age of
sixteen, and that they shall be kept at school until they have reached such age, and that no aliens herein named
shall be placed at work unsuitable to their years.
(14) That I am willing and able to receive, maintain and support all those herein mentioned, and do hereby guarantee to save harmless the United States or any State, city, village or township thereof against any aliens herein mentioned becoming a public charge.(15) That this affidavit is made by me for the Information of the American Consul In connection with the application for visas filed by the above-mentioned aliens and for the Information of the Immigration Authorities at the port of arrival In the
United States, and I do solemnly swear that the facts stated herein are true to the best of my
knowledge and belief.Sam Speier(Signature
of Deponent)Subscribed and sworn to before me, a
Notary Public in and for said County
on this 23rd day
of July
A. D., 1936John Barten (Notary Public)NOTARY PUBLIC, Minnehaha County, South Dakota
My Commission Expires March 11, 1938NOTARY PUBLIC, Minnehaha County, South Dakota
My Commission Expires March 11, 1938My commission expiresNOTE: Answer either Questions 5 or 6, 7 or 8 as the facts apply.[?] T. C. 86578Printed in U.S.